| NPI | 1932817780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA H173925) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 120423) |
| 363L00000X Nurse Practitioner (Licence: NE 114825) | |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2024-04-16 |